Professor Campbell will discuss Japan's new public, mandatory, long-term care insurance program: does it make sense as social policy? As economic policy? Professor Creighton has long been interested in the relationship between politics and substantive public policy, and in the way policies change upon implementation. He has pursued this interest mostly in the context of the Japanese political system, and in this talk he will apply his framework to Japan's foray into socialized care for the elderly.
Okimoto Conference Room, Third Floor, East Wing, Encina Hall
As Mozambique enters its tenth year of peace following a brutal and destructive civil war, the signs of continued democratic transformation and pro-market economic reform appear rosy, at least at first glance. Donors and the international community have quietly lauded Joaquim Chissano's recent announcement that he is "not disposed" to seek a third term as president of this former Portuguese colony of 17 million on the southeast coast of Africa. Together with President Frederick Chiluba's similar announcement in Zambia a few months ago, it looks to many like an indication that these two African democracies are maturing and consolidating the gains that they have made in recent years.
Mozambique's continued place atop the list of the world's fastest-growing economies has been seen as another signal that commitment to the "Washington Consensus" will provide the funds required to bring infrastructure, schools, and health care to the rural majority. It is no wonder, then, that Mozambique finds itself highlighted as a success story for the United Nations in conflict-ridden Africa. Many credit Mozambique's remarkable transformation to the UN's efforts to sustain the drawn-out peace negotiations, demobilize more than 90,000 soldiers, rebuild a unified national army, and foster the rise of a legitimate, peaceful opposition. Donor investments continue to support Mozambique today, funding more than half of the government's annual budget.
On the ground in Mozambique, however, the continuation of this upward trajectory looks anything but guaranteed. The newspapers hint at trouble just beneath the surface: two major bank failures, the assassination of the country's most respected independent journalist, the continued depreciation of the currency, and stop-and-start talks between the Frente de Libertação de Moçambique (or Frelimo, as the ruling party is usually called) and its main political rival, the Resist^encia Nacional Moçambicana (Renamo), about how to share power at the local level. In November 2000, when police in the city of Montepuez killed demonstrators challenging the government's claim to have won that year's national elections, tensions nearly exploded into large-scale violence. 1
The UN's work in Mozambique was unprecedented in scope, and the results have been dramatic. Two consecutive free elections and growth rates approaching 10 percent a year over the past decade cannot be ignored. Some might argue that the items of bad news cited above are merely "bumps on the road" toward lasting peace, as Mozambicans of all stripes learn to resolve problems through dialogue and democratic competition. But a deeper look at Mozambique's political and economic situation suggests a bleaker interpretation.
The truth is that a number of deep cleavages threaten the future of Mozambique's democratic transition. What are these fundamental divisions? And more importantly, how can the political system be reformed in order to prevent them from worsening or even erupting into renewed civil war? A search for answers should begin with some basic background on Mozambique and its troubled recent history.
This series from the NBER presents new research by leading economists on current health care policy issues. The papers in this seventh volume, originally presented at the annual Frontiers in Health Policy Research conference held in Washington D.C. in the summer of 2003, reflect the economic challenges faced by policymakers and health care professionals in an age of budget deficits. Topics discussed include prescription drug benefits as a stand-alone component of Medicare, disability rates and Medicare costs, and conversion to for-profit health plans.
Sixth edition (2003), Fifth edition (2002), Fourth edition (2001), Third edition (2000), Second edition (1999), First edition (1998)